Healthcare Provider Details

I. General information

NPI: 1447874235
Provider Name (Legal Business Name): LECIA MCHARGUE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2020
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 CARLISLE BLVD NE APT 3
ALBUQUERQUE NM
87107-4532
US

IV. Provider business mailing address

4010 CARLISLE BLVD NE
ALBUQUERQUE NM
87107-4532
US

V. Phone/Fax

Practice location:
  • Phone: 505-818-0540
  • Fax:
Mailing address:
  • Phone: 505-301-5297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSWB-2026-0414
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: